Biostats and epi, public health, QI Flashcards

(43 cards)

1
Q

Difference between two groups is found

A

Alternative hypothesis
Or rejecting null hypothesis

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2
Q

Opposite of cross sectional study

A

Longitudinal (follows for period of time)

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3
Q

What is STROBE

A

Guidelines to help strengthen observational studies
Strengthening the Reporting of Observational Studies in Epidemiology

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4
Q

Case control vs cohort study

A

Case control - divides subjects based on outcome
Cohort - divides subjects based on initial exposure

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5
Q

When is meta analysis useful?

A

if published studies are underpowered or have conflicting results
Considered not human subject research

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6
Q

What kind of data is red-white-blue

A

Categorical (bins - no order)

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7
Q

What kind of data is the GCS or modified rankin scale

A

Ordinal (bins but definitive order)

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8
Q

What kind of data is numbers 1-100

A

Numerical or continuous

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9
Q

Type 1 error

A

Probability of aalse positive (or alpha)
P value

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10
Q

Type II error

A

Probability of false negative
Beta

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11
Q

Power formula

A

1 - beta

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12
Q

Test with normally distributed continuous data between 2 groups

A

Student T test

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13
Q

Test with normally distributed or continuous data between 3 or more groups

A

ANOVA

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14
Q

Test with ordinal data between 2 groups

A

Wilcoxon rank-sum test

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15
Q

Test with ordinal data between 3 or more groups

A

Kruskall-Wallis test

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16
Q

Test with categorical or binary data between groups

A

Chi-Square

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17
Q

Categorical or binary data if < 5 observations present

A

Fisher exact test

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18
Q

Regression and statistics linear vs logistic data

A

Linear: Continuous data
Logistics: Categorical data

19
Q

Sensitivity formula

A

true positives / all tested
a / ( a + c)

20
Q

Specificity formula

A

True negatives / all tested
d / (b + d)

21
Q

PPD formula

A

true positives / all positives
a / (a + b)

22
Q

NPV formula

A

true negatives / all negatives
d / (d + c)

22
Q

Bonferroni correction

A

When comparing multiple things
0.05 divided by number of variables

23
Q

Subgroup analysis

A

Rerunning analysis for smaller subset
(i.e women 18-25 year olds)
Careful for data mining

24
What is a multivariable analysis
Simulations analysis of multiple outcome variablesW
25
Who reviews interim data analysis
Data safety monitory board
26
Regionalization
Formation of a coordinated statewide or regional system of care
27
Categorization
Review against standards to classify the capabilities of the institution
28
Designation
Formal selection for patient referral and transfer Minimum standards must be met Usually by state
29
Why is self designation not ideal for a hospital? How it legal to block?
Inability to confirm categorization Doesn't count as anti-trust, If through valid regulatory agency
30
Most common cause of diversion
Lack of inpatient capability of a hospital
31
Syndromic surveillance
Monitoring for a constellation of symptoms prior to a defined diagnosis, utilized to improve speed of public health response during disease outbreak
32
3 essential components for EMS interface with public health
1. Assessment 2. Policy development 3. Assurance
33
Quick access defibrillator studies
1. Casino study 2. American Airlines observational studies 3. PAD trial
34
Flexner report of 1910 Led to?
Accused medical institutions of making lots of poorly trained doctors Led to minimum stands for education
35
Crossing quality chasm stated
Redesign of healthcare Safe, effective, patient centered, timely, efficient, equitable
36
Model for improvement came up with what
PDSA cycle
37
QA vs CQI
QA: emphasis on individuals performance, monitor and measure against a standard, reactive QI: emphasis on process, systems approach, proactive
38
EMS at crossroads stated
National evidence based performance measures
39
NFPA 1710
Quality improvement program
40
NFPA standards for turnout time, response time and defibrillation?
1710 Turnout time - , 60 seconds Response time - first response in 4 minutes, transport arrival within 8 minutes, ALS within 8 minutes Defib - 50% of first shocks within 5 minutes
41
3 types of claims from QI
Defamation - provider claims performance review was slanderous Antitrust/tortuous interference with business - loss of employment from discipline Patient claim of negligent supervision - harmed by allowing provider to continue to practice
42
Level C recommendation
Fair evidence - clinical service benefits and risks are equivocal